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英国性健康与艾滋病联合协会及皇家妇产科学院英国全国妊娠期及新生儿单纯疱疹病毒(HSV)管理指南(2024年更新版)

Joint British Association for Sexual Health and HIV and Royal College of Obstetricians and Gynaecologists national UK guideline for the management of herpes simplex virus (HSV) in pregnancy and the neonate (2024 update).

作者信息

Clarke Emily, Patel Raj, Dickins Dyan, Fidler Katy, Jackson Allan, Kingston Margaret, Jones Christine, Lyall Hermione, Nicholson Marian, Pelosi Emanuela, Porter David, Powell Gemma, Foley Elizabeth

机构信息

Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.

University of Liverpool, Liverpool, UK.

出版信息

Int J STD AIDS. 2025 Jan;36(1):4-23. doi: 10.1177/09564624241280734. Epub 2024 Sep 30.

Abstract

This updated national UK guideline offers recommendations on the management of genital herpes simplex virus (HSV) in mothers and pregnant people during pregnancy and within 4 weeks following birth. It includes recommendations for first episode and recurrent HSV, HSV in preterm pre-labour rupture of membranes and in co-infection with HSV and HIV. Recommendations around management of the neonate are made, on prevention of postnatal transmission, management of breastfeeding, and the management of clinically discordant couples. This guideline is aimed at healthcare professionals working in sexual health clinics, maternity units, and those working on postnatal wards and neonatal units in the UK. However, the principles of the recommendations should be adopted across all services, including community care.

摘要

这份更新后的英国国家指南针对孕期及产后4周内母亲和孕妇的单纯疱疹病毒(HSV)感染管理提供了建议。其中包括初发性和复发性HSV感染、胎膜早破早产时的HSV感染以及HSV与HIV合并感染的相关建议。指南还给出了关于新生儿管理、预防产后传播、母乳喂养管理以及临床情况不一致的伴侣管理的建议。本指南面向在英国性健康诊所、产科病房工作的医护人员,以及在产后病房和新生儿病房工作的人员。不过,所有服务机构,包括社区护理机构,都应采用这些建议的原则。

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